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General NPI Number Information
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NPI Number | 1720579824
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Entity Type | Organization
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Legal Business Name | USIPRO-HOUSTON INC
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP S
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-459-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 7630 FRY RD STE 300
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City | CYPRESS
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State | TX
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Zip | 77433-3376
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Country | US
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Telephone | 713-459-2700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JERRY BERNARD JONES JR.
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Credential |
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Telephone | 713-459-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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